NPIMap

Individual provider Active NPI

Mark M Musgrave, M.D.

  • Orthopaedic Surgery Physician
  • Medina, OH
National Provider Identifier
1235236209
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35.069174 Issued in OH
Practice address
4975 Foote Rd
Suite 100
Medina, OH 44256-8748
Phone
(330) 721-8232
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.069174 OH Primary

Addresses

Primary practice location

4975 Foote Rd
Suite 100
Medina, OH 44256-8748

Mailing address

4975 Foote Rd Ste 100
Medina, OH 44256-8748
Phone (330) 721-8232

Other identifiers 2

IdentifierTypeStateIssuer
P00144816OtherOHRAILROAD MEDICARE
2100989MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000264 OH Practitioner - Orthopedic Surgery 0941274005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Clinic, Inc.Group PAC ID 7214821586, 46 clinicians

Practice addresses (Care Compare)

4975 Foote Rd
Suite 100
Medina, OH 44256-8748
Phone (330) 721-8232

Hospital & facility affiliations

  • Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351
  • Summa Health System Hospital, Akron, OH, CCN 360020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)34
Upper limb (arm) arthroscopy (minimally invasive joint repair)29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic, Inc. Orthopaedic Surgery CurrentSince Jul 1, 1999 Accepting new patients
Embassy Home Health Orthopaedic Surgery CurrentSince Sep 27, 2025 Accepting new patients
Crystal Clinic Inc CurrentSince Jul 1, 1999 Accepting new patients
Crystal Clinic Orthopaedic Center, LLC Orthopaedic Surgery Past Accepting new patients

Locations

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

437 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 929-9136

3975 Embassy Pkwy
Ste 102
Fairlawn, OH 44333
Phone (330) 668-4050

4975 Foote Rd
Ste 100
Medina, OH 44256

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1235236209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 FOOTE RD STE 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568748",
            "telephone_number": "330-721-8232",
            "fax_number": "330-721-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 FOOTE RD",
            "address_2": "SUITE 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568748",
            "telephone_number": "330-721-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGRAVE",
        "first_name": "MARK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.069174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00144816",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100989",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.